Active NPI
Remedy Holistic Pharmacy Inc
- Community/Retail Pharmacy
- San Diego, CA
National Provider Identifier
1780433060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- REMEDY HOLISTIC PHARMACY INC
- Practice address
- 320 W Cedar St Ste 103
San Diego, CA 92101-3064 - Phone
- (619) 915-5862
- NPI assigned
- May 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Haidi Vattolo
- Title
- Ceo
- Phone
- (951) 392-6494
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
320 W Cedar St Ste 103
San Diego, CA 92101-3064
Mailing address
6965 El Camino Real # 105-575
Carlsbad, CA 92009-4100
Other names 1
- Remedy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241018002935 | CA | Part B Supplier - Pharmacy | 7517499296 | Practice locations: San Diego, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hemet, CA
- NPI 1962719682
-
- Ambulatory Care Pharmacist
- San Diego, CA
- NPI 1033651575
-
- Pharmacist
- San Diego, CA
- NPI 1558882225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715904000000",
"number": "1780433060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6965 EL CAMINO REAL # 105-575",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920094100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W CEDAR ST STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013064",
"telephone_number": "619-915-5862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REMEDY HOLISTIC PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-17",
"last_updated": "2024-05-17",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "VATTOLO",
"authorized_official_first_name": "HAIDI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "951-392-6494"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Remedy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.